Organization
POUDRE VALLEY MEDICAL GROUP, LLC
Active
Other names
UCHealth Neurology Clinic - Woodmen
Organization subpart
No
Provider details
NPI number
Authorized official
JANA CONROY (CREDENTIALING MANAGER)
(970) 624-4443
Entity
Organization
Contact information
Practice address
4190 E WOODMEN RD STE 100, COLORADO SPRINGS, CO 80920-8075
(719) 365-1950
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(193) 651-9507
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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